Unknown Individual – Radiation Oncology Physician, NPI 1013923937

Unknown Individual is a healthcare provider. based in Baltimore, Maryland. specializing in Radiation Oncology Physician. They hold a License No. D10554 (MD). The NPI Number for Unknown Individual is 1013923937

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013923937
Phone
(410) 328-3037
Address
PO BOX 64620
Deactivation Date
15 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
4103286080
Graduation Year
1962 (64 years ago)
PAC ID
2961688999
Group Practice PAC ID
6406845544
Professional Enrollment ID
I20110509000711
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 64620

    BALTIMORE, MD 212644620

    Phone: (410) 328-3037

    Fax: (410) 328-3040

    Type: Mailing

  • University of Maryland Medical Center, 22, South Greene Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States

    GUDELSKY BASEMENT

    BALTIMORE, MD 212011544

    Phone: (410) 328-3037

    Fax: (410) 328-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21264)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406845544View full group profile
NameSpecialtyState
Radiation OncologyMD
Radiation OncologyMD
Nurse PractitionerMD
Radiation OncologyMD
Radiation OncologyCA
Radiation OncologyVA
Radiation OncologyMD
Radiation OncologyMD
Nurse PractitionerMD
Radiation OncologyMD

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1013923937 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Baltimore, Maryland in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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